DEPARTMENT OF INSURANCE

Affiliations

Name	Dickens, Gina Lea	DOIID	952996	NAIC NPN	18396610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/1/2020	1/1/2024
Inactive	Resident	Agent	Life	12/1/2020	1/1/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	12/10/2020	7/25/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/25/2021	11/17/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/25/2021	11/17/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	1/20/2022	12/20/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	1/20/2022	12/20/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/20/2022	4/5/2023
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	4/20/2018	11/8/2018
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	4/20/2018	11/8/2018
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	3/27/2019	4/30/2019
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	2/28/2018	4/30/2018
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	1/29/2018	4/30/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/24/2018	1/7/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/24/2018	1/7/2020
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	1/20/2022	4/6/2023
Inactive	Great Western Insurance Company	501693	Agent - Life	8/22/2017	4/23/2019
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	8/24/2017	10/17/2018
Inactive	National Health Insurance Company	300554	Agent - Health	4/24/2018	1/1/2020
Inactive	National Health Insurance Company	300554	Agent - Life	4/24/2018	1/1/2020
Inactive	Tier One Insurance Company	301056	Agent - Health	7/29/2021	1/1/2024
Inactive	Time Insurance Company	300683	Agent - Health	4/24/2018	10/23/2018
Inactive	Time Insurance Company	300683	Agent - Life	4/24/2018	10/23/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/25/2022	1/1/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/25/2022	1/1/2024
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/26/2017	11/12/2018
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/16/2020	3/15/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/6/2017	7/23/2018
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	9/11/2018	3/5/2019
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	9/11/2018	3/5/2019
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	9/11/2018	3/5/2019
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	9/11/2018	3/5/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/12/2021	4/28/2022
Inactive	Sutherland Global Services Inc	601788	Agent - Life	3/3/2021	11/17/2021
Inactive	Sutherland Global Services Inc	601788	Agent - Health	3/3/2021	1/1/2024